neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.17650/1683-3295-2023-25-2-75-82neurosurgery-1375Research ArticleНАБЛЮДЕНИЕ ИЗ ПРАКТИКИFROM PRACTICEРазвитие аневризмы внутренней сонной артерии на фоне успешного консервативного лечения пролактиномыDevelopment of internal carotid artery aneurysm after successful conservative treatment of prolactinomahttps://orcid.org/0000-0002-6520-4296КутинМ. А.KutinM. A.

125047 Москва, ул. 4-я Тверская-Ямская, 16

https://orcid.org/0000-0003-4480-1902АстафьеваЛ. И.AstafyevaL. I.

125047 Москва, ул. 4-я Тверская-Ямская, 16

https://orcid.org/0000-0002-9789-3452ЧерновИ. В.ChernovI. V.

Илья Валерьевич Чернов

125047 Москва, ул. 4-я Тверская-Ямская, 16

Ilya Valeryevich Chernov

125047 Moscow, 4th Tverskaya-Yamskaya St., 16

ichernov@nsi.ruhttps://orcid.org/0000-0002-4721-9320МикеладзеК. Г.MikeladzeK. G.

125047 Москва, ул. 4-я Тверская-Ямская, 16

125047 Moscow, 4th Tverskaya-Yamskaya St., 16

https://orcid.org/0000-0002-0798-2604ЯковлевС. Б.YakovlevS. B. 

125047 Москва, ул. 4-я Тверская-Ямская, 16

125047 Moscow, 4th Tverskaya-Yamskaya St., 16

ЛавренюкА. Н.LavrenyukА. N.

603028 Нижний Новгород, Московское ш., 144

603028 Nizhny Novgorod, Moskovskoe Hwy, 144

https://orcid.org/0000-0002-0719-5168ДонскойА. Д.DonskoyA. D.

125047 Москва, ул. 4-я Тверская-Ямская, 16

125047 Moscow, 4th Tverskaya-Yamskaya St., 16

https://orcid.org/0000-0001-9333-9473КалининП. Л.KalininP. L.

125047 Москва, ул. 4-я Тверская-Ямская, 16

125047 Moscow, 4th Tverskaya-Yamskaya St., 16

ФГAУ «Национальный медицинский исследовательский центр нейрохирургии им. акад. Н.Н. Бурденко» Минздрава РоссииРоссияN.N. Burdenko National Medical Research Center of Neurosurgery of Ministry of Health of RussiaRussian FederationГБУЗ Нижегородской области «Городская клиническая больница № 39 Канавинского района Нижнего Новгорода»РоссияCity Clinical Hospital No. 39 of Kanavinsky district of Nizhny NovgorodRussian Federation2023100720232527582Copyright © Кутин М.А., Астафьева Л.И., Чернов И.В., Микеладзе К.Г., Яковлев С.Б., Лавренюк А.Н., Донской А.Д., Калинин П.Л., 20232023Кутин М.А., Астафьева Л.И., Чернов И.В., Микеладзе К.Г., Яковлев С.Б., Лавренюк А.Н., Донской А.Д., Калинин П.Л.Kutin M.A., Astafyeva L.I., Chernov I.V., Mikeladze K.G., Yakovlev S.B., Lavrenyuk А.N., Donskoy A.D., Kalinin P.L.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/1375Введение

Введение. Вопрос о сочетании аденом гипофиза и интракраниальных аневризм достаточно широко отражен в современной литературе. По данным различных авторов, распространенность подобного сочетания составляет в среднем 9 %. В основном встречается сочетание гормонально активных аденом гипофиза с аневризмами передней циркуляции: 69 % подобных аневризм происходят из сонной артерии. Работ, представляющих развитие аневризм после лечения пролактином, нами не найдено.

Цель работы – анализ и демонстрация лечения пациентов с развившейся аневризмой внутренних сонных артерий (ВСА) на фоне успешной консервативной терапии пролактиномы.

Материалы и методы

Материалы и методы. В данной статье проведен обзор литературы и представлены два клинических наблюдения пациентов, у которых развились аневризмы ВСА после успешного консервативного лечения пролактином.

Результаты

Результаты. В обоих описанных случаях аневризмы ВСА с интраселлярным распространением развились после успешного консервативного лечения крупных инвазивных пролактином. В обоих случаях была выполнена окклюзия ВСА, а в одном случае также был наложен экстра‑интракраниальный микроанастомоз.

Заключение

Заключение. Представленные клинические случаи свидетельствуют о возможном прямом деструктивном воздействии опухолевой ткани на стенки сосудов. В настоящее время всем больным с аденомами, прорастающими в кавернозный синус, целесообразно проводить компьютерную томографическую ангиографию.

Background

Background. The problem of concomitant pituitary adenomas and intracranial aneurysms is extensively covered in literature. According to various authors, the prevalence of such a combination of lesions is as high as 9 %, most commonly involving hormone‑producing pituitary adenomas and aneurysms of the anterior circulation, up to 69 % of which originate from the carotid artery.

Aim

Aim. To analyze and demonstrate the treatment of patients with developed internal carotid artery aneurysm (ICA) against the background of successful conservative therapy of prolactinoma. Materials and methods. In this article we review the literature and present two clinical cases of patients with development of internal carotid artery (ICA) aneurysms after successful conservative treatment of prolactinomas.

Results

Results. In both of the described cases, ICA aneurysms with intrasellar extension developed after successful conservative treatment of large invasive prolactinomas. In both cases ICA occlusion were performed and in one of them extra‑intracranial bypass surgery was performed as well.

Conclusion

Conclusion. The presented clinical cases suggest potential direct destructive effect of tumor tissue on vessel walls. Currently, it seems reasonable to carry out computed tomography angiography in all patients with adenomas invading the cavernous sinus.

аденома гипофизацеребральная аневризмаэндоваскулярная окклюзия аневризмыpituitary adenomacerebral aneurysmendovascular aneurysm occlusionReferencesPant B., Arita K., Kurisu K. et al. Incidence of intracranial aneurysm associated with pituitary adenoma. Neurosurg Rev 1997;20(1):13–7. DOI: 10.1007/BF01390519Pant B., Arita K., Kurisu K. et al. Incidence of intracranial aneurysm associated with pituitary adenoma. Neurosurg Rev 1997;20(1):13–7. DOI: 10.1007/BF01390519Housepian E.M., Pool J.L. A systematic analysis of intracranial aneurysms from the autopsy file of the Presbyterian Hospital, 1914 to 1956. J Neuropathol Exp Neurol 1958;17(3):409–23. DOI: 10.1097/00005072-195807000-00001Housepian E.M., Pool J.L. A systematic analysis of intracranial aneurysms from the autopsy file of the Presbyterian Hospital, 1914 to 1956. J Neuropathol Exp Neurol 1958;17(3):409–23. DOI: 10.1097/00005072-195807000-00001Imamura J., Okuzono T., Okuzono Y. Fatal epistaxis caused by rupture of an intratumoral aneurysm enclosed by a large prolactinoma – case report. Neurol Med Chir 1998;38(10):654–6. DOI: 10.2176/nmc.38.654Imamura J., Okuzono T., Okuzono Y. Fatal epistaxis caused by rupture of an intratumoral aneurysm enclosed by a large prolactinoma – case report. Neurol Med Chir 1998;38(10):654–6. DOI: 10.2176/nmc.38.654Manara R., Maffei P., Citton V. et al. Increased rate of intracranial saccular aneurysms in acromegaly: an MR angiography study and review of the literature. J Clin Endocrinol Metab 2011;96(5):1292–300. DOI: 10.1210/jc.2010-2721Manara R., Maffei P., Citton V. et al. Increased rate of intracranial saccular aneurysms in acromegaly: an MR angiography study and review of the literature. J Clin Endocrinol Metab 2011;96(5):1292–300. DOI: 10.1210/jc.2010-2721Onishi H., Ito H., Kuroda E. et al. Intracranial mycotic aneurysm associated with transsphenoidal surgery to the pituitary adenoma. Surg Neurol 1989;31(2):149–54. DOI: 10.1016/00903019(89)90330-3Onishi H., Ito H., Kuroda E. et al. Intracranial mycotic aneurysm associated with transsphenoidal surgery to the pituitary adenoma. Surg Neurol 1989;31(2):149–54. DOI: 10.1016/00903019(89)90330-3Oh M.C., Kim E.H., Kim S.H. Coexistence of intracranial aneurysm in 800 patients with surgically confirmed pituitary adenoma. J Neurosurg 2012;116(5):942–7. DOI: 10.3171/2011.12.JNS11875Oh M.C., Kim E.H., Kim S.H. Coexistence of intracranial aneurysm in 800 patients with surgically confirmed pituitary adenoma. J Neurosurg 2012;116(5):942–7. DOI: 10.3171/2011.12.JNS11875Xia X., Ramanathan M., Orr B.A. et al. Expanded endonasal endoscopic approach for resection of a growth hormone-secreting pituitary macroadenoma coexistent with a cavernous carotid artery aneurysm. J Clin Neurosci 2012;19(10):1437–41. DOI: 10.1016/j.jocn.2011.11.032Xia X., Ramanathan M., Orr B.A. et al. Expanded endonasal endoscopic approach for resection of a growth hormone-secreting pituitary macroadenoma coexistent with a cavernous carotid artery aneurysm. J Clin Neurosci 2012;19(10):1437–41. DOI: 10.1016/j.jocn.2011.11.032Berker M., Aghayev K., Saatci I. et al. Overview of vascular complications of pituitary surgery with special emphasis on unexpected abnormality. Pituitary 2010;13(2):160–7. DOI: 10.1007/s11102-009-0198-7Berker M., Aghayev K., Saatci I. et al. Overview of vascular complications of pituitary surgery with special emphasis on unexpected abnormality. Pituitary 2010;13(2):160–7. DOI: 10.1007/s11102-009-0198-7Bulsara K., Karavadia S., Powers C., Paullus W. Association between pituitary adenomas and intracranial aneurysms: аn illustrative case and review of the literature. Neurol India 2007;55(4):410. DOI: 10.4103/0028-3886.33307Bulsara K., Karavadia S., Powers C., Paullus W. Association between pituitary adenomas and intracranial aneurysms: аn illustrative case and review of the literature. Neurol India 2007;55(4):410. DOI: 10.4103/0028-3886.33307Curto L., Squadrito S., Almoto B. et al. MRI finding of simultaneous coexistence of growth hormone-secreting pituitary adenoma with intracranial meningioma and carotid artery aneurysms: report of a case. Pituitary 2007;10(3):299–305. DOI: 10.1007/s11102-007-0011-4Curto L., Squadrito S., Almoto B. et al. MRI finding of simultaneous coexistence of growth hormone-secreting pituitary adenoma with intracranial meningioma and carotid artery aneurysms: report of a case. Pituitary 2007;10(3):299–305. DOI: 10.1007/s11102-007-0011-4Fujiwara S., Fujii K., Nishio S., Fukui M. Diagnosis and treatment of pituitary adenoma with adjacent carotid artery aneurysm. J Neurosurg Sci 1991;35(1):41–6.Fujiwara S., Fujii K., Nishio S., Fukui M. Diagnosis and treatment of pituitary adenoma with adjacent carotid artery aneurysm. J Neurosurg Sci 1991;35(1):41–6.Hori T., Muraoka K., Hokama Y. et al. A growth-hormoneproducing pituitary adenoma and an internal carotid artery aneurysm. Surg Neurol 1982;18(2):108–11. DOI: 10.1016/00903019(82)90366-4Hori T., Muraoka K., Hokama Y. et al. A growth-hormoneproducing pituitary adenoma and an internal carotid artery aneurysm. Surg Neurol 1982;18(2):108–11. DOI: 10.1016/00903019(82)90366-4Revuelta R., Arriada-Mendicoa N., Ramirez-Alba J., SotoHernandez J.L. Simultaneous treatment of a pituitary adenoma and an internal carotid artery aneurysm through a supraorbital keyhole approach. Minim Invasive Neurosurg 2002;45(2):109–11. DOI: 10.1055/s-2002-32488Revuelta R., Arriada-Mendicoa N., Ramirez-Alba J., SotoHernandez J.L. Simultaneous treatment of a pituitary adenoma and an internal carotid artery aneurysm through a supraorbital keyhole approach. Minim Invasive Neurosurg 2002;45(2):109–11. DOI: 10.1055/s-2002-32488Seda Jr L., Cukiert A., Nogueira K.C. et al. Intrasellar internal carotid aneurysm coexisting with GH-secreting pituitary adenoma in an acromegalic patient. Arq Neuropsiquiatr 2008;66(1):99–100. DOI: 10.1590/S0004-282X2008000100026Seda Jr L., Cukiert A., Nogueira K.C. et al. Intrasellar internal carotid aneurysm coexisting with GH-secreting pituitary adenoma in an acromegalic patient. Arq Neuropsiquiatr 2008;66(1):99–100. DOI: 10.1590/S0004-282X2008000100026Yamada S., Yamada S.M., Hirohata T. et al. Endoscopic extracapsular removal of pituitary adenoma: the importance of pretreatment of an adjacent unruptured internal carotid artery aneurysm. Case Rep Neurol Med 2012;2012:1–3. DOI: 10.1155/2012/891847Yamada S., Yamada S.M., Hirohata T. et al. Endoscopic extracapsular removal of pituitary adenoma: the importance of pretreatment of an adjacent unruptured internal carotid artery aneurysm. Case Rep Neurol Med 2012;2012:1–3. DOI: 10.1155/2012/891847Sade B., Mohr G., Tampieri D., Rizzo A. Intrasellar aneurysm and a growth hormone-secreting pituitary macroadenoma. J Neurosurg 2004;100(3):557–9. DOI: 10.3171/jns.2004.100.3.0557Sade B., Mohr G., Tampieri D., Rizzo A. Intrasellar aneurysm and a growth hormone-secreting pituitary macroadenoma. J Neurosurg 2004;100(3):557–9. DOI: 10.3171/jns.2004.100.3.0557Salpietro F.M., Longo M., Alafaci C. et al. Co-existing pituitary tumour and intracavernous asymptomatic aneurysm: management implications. Acta Neurochir (Wien) 1997;139(8):791–2. DOI: 10.1007/BF01420056Salpietro F.M., Longo M., Alafaci C. et al. Co-existing pituitary tumour and intracavernous asymptomatic aneurysm: management implications. Acta Neurochir (Wien) 1997;139(8):791–2. DOI: 10.1007/BF01420056Tsuchida T., Tanaka R., Yokoyama M., Sato H. Rupture of anterior communicating artery aneurysm during transsphenoidal surgery for pituitary adenoma. Surg Neurol 1983;20(1):67–70. DOI: 10.1016/0090-3019(83)90110-6Tsuchida T., Tanaka R., Yokoyama M., Sato H. Rupture of anterior communicating artery aneurysm during transsphenoidal surgery for pituitary adenoma. Surg Neurol 1983;20(1):67–70. DOI: 10.1016/0090-3019(83)90110-6Li M.-H., Cheng Y.-S., Li Y.-D. et al. Large-cohort comparison between three-dimensional time-of-flight magnetic resonance and rotational digital subtraction angiographies in intracranial aneurysm detection. Stroke 2009;40(9):3127–9. DOI: 10.1161/STROKEAHA.109.553800Li M.-H., Cheng Y.-S., Li Y.-D. et al. Large-cohort comparison between three-dimensional time-of-flight magnetic resonance and rotational digital subtraction angiographies in intracranial aneurysm detection. Stroke 2009;40(9):3127–9. DOI: 10.1161/STROKEAHA.109.553800Wanke I., Doerfler A., Stolke D., Forsting M. Carotid cavernous fistula due to a ruptured intracavernous aneurysm of the internal carotid artery: treatment with selective endovascular occlusion of the aneurysm. J Neurol Neurosurg Psychiatry 2001;71(6):784–7. DOI: 10.1136/jnnp.71.6.784Wanke I., Doerfler A., Stolke D., Forsting M. Carotid cavernous fistula due to a ruptured intracavernous aneurysm of the internal carotid artery: treatment with selective endovascular occlusion of the aneurysm. J Neurol Neurosurg Psychiatry 2001;71(6):784–7. DOI: 10.1136/jnnp.71.6.784Sasagawa Y., Tachibana O., Shiraga S. et al. [A clinical feature and therapeutic strategy in pituitary adenomas associated with intracranial aneurysms.] No Shinkei Geka 2012;40(1):15–21 (in Japanese). DOI: 22223518Sasagawa Y., Tachibana O., Shiraga S. et al. [A clinical feature and therapeutic strategy in pituitary adenomas associated with intracranial aneurysms.] No Shinkei Geka 2012;40(1):15–21 (in Japanese). DOI: 22223518Nakahara M., Uozumi Y., Chiba Y. et al. Direct carotid cavernous fistula due to rupture of a cavernous carotid aneurysm embedded within a prolactinoma after cabergoline administration. World Neurosurg 2019;122:495–9. DOI: 10.1016/j.wneu.2018.11.071Nakahara M., Uozumi Y., Chiba Y. et al. Direct carotid cavernous fistula due to rupture of a cavernous carotid aneurysm embedded within a prolactinoma after cabergoline administration. World Neurosurg 2019;122:495–9. DOI: 10.1016/j.wneu.2018.11.071Peng Z., Tian D., Wang H. et al. Epistaxis and pituitary apoplexy due to ruptured internal carotid artery aneurysm embedded within pituitary adenoma. Int J Clin Exp Pathol 2015;8(11):14189–97.Peng Z., Tian D., Wang H. et al. Epistaxis and pituitary apoplexy due to ruptured internal carotid artery aneurysm embedded within pituitary adenoma. Int J Clin Exp Pathol 2015;8(11):14189–97.Khalsa S.S., Hollon T.C., Shastri R. et al. Spontaneous subarachnoid hemorrhage due to ruptured cavernous internal carotid artery aneurysm after medical prolactinoma treatment. BMJ Case Rep 2016;2016:bcr2016012446. DOI: 10.1136/bcr-2016-012446Khalsa S.S., Hollon T.C., Shastri R. et al. Spontaneous subarachnoid hemorrhage due to ruptured cavernous internal carotid artery aneurysm after medical prolactinoma treatment. BMJ Case Rep 2016;2016:bcr2016012446. DOI: 10.1136/bcr-2016-012446Suzuki H., Muramatsu M., Murao K. et al. Pituitary apoplexy caused by ruptured internal carotid artery aneurysm. Stroke 2001;32(2):567–9. DOI: 10.1161/01.STR.32.2.567Suzuki H., Muramatsu M., Murao K. et al. Pituitary apoplexy caused by ruptured internal carotid artery aneurysm. Stroke 2001;32(2):567–9. DOI: 10.1161/01.STR.32.2.567Khalsa S.S., Hollon T.C., Shastri R. et al. Spontaneous subarachnoid hemorrhage due to ruptured cavernous internal carotid artery aneurysm after medical prolactinoma treatment. J Neurointerv Surg 2017;9(3):e9. DOI: 10.1136/neurintsurg-2016-012446.repKhalsa S.S., Hollon T.C., Shastri R. et al. Spontaneous subarachnoid hemorrhage due to ruptured cavernous internal carotid artery aneurysm after medical prolactinoma treatment. J Neurointerv Surg 2017;9(3):e9. DOI: 10.1136/neurintsurg-2016-012446.repGillam M.P., Molitch M.E., Lombardi G., Colao A. Advances in the treatment of prolactinomas. Endocr Rev 2006;27(5):485–534. DOI: 10.1210/er.2005-9998Gillam M.P., Molitch M.E., Lombardi G., Colao A. Advances in the treatment of prolactinomas. Endocr Rev 2006;27(5):485–534. DOI: 10.1210/er.2005-9998Bhatt M.H., Keenan S.P., Fleetham J.A., Calne D.B. Pleuropulmonary disease associated with dopamine agonist therapy. Ann Neurol 1991;30(4):613–6. DOI: 10.1002/ana.410300416Bhatt M.H., Keenan S.P., Fleetham J.A., Calne D.B. Pleuropulmonary disease associated with dopamine agonist therapy. Ann Neurol 1991;30(4):613–6. DOI: 10.1002/ana.410300416Delgrange E., Daems T., Verhelst J. et al. Characterization of resistance to the prolactin-lowering effects of cabergoline in macroprolactinomas: a study in 122 patients. Eur J Endocrinol 2009;160(5):747–52. DOI: 10.1530/EJE-09-0012Delgrange E., Daems T., Verhelst J. et al. Characterization of resistance to the prolactin-lowering effects of cabergoline in macroprolactinomas: a study in 122 patients. Eur J Endocrinol 2009;160(5):747–52. DOI: 10.1530/EJE-09-0012Ling L.H., Ahlskog J.E., Munger T.M. et al. Constrictive pericarditis and pleuropulmonary disease linked to ergot dopamine agonist therapy (Cabergoline) for Parkinson’s disease. Mayo Clin Proc 1999;74(4):371–5. DOI: 10.4065/74.4.371Ling L.H., Ahlskog J.E., Munger T.M. et al. Constrictive pericarditis and pleuropulmonary disease linked to ergot dopamine agonist therapy (Cabergoline) for Parkinson’s disease. Mayo Clin Proc 1999;74(4):371–5. DOI: 10.4065/74.4.371Usiello A., Baik J.-H., Rougé-Pont F. et al. Distinct functions of the two isoforms of dopamine D2 receptors. Nature 2000;408(6809):199–203. DOI: 10.1038/35041572Usiello A., Baik J.-H., Rougé-Pont F. et al. Distinct functions of the two isoforms of dopamine D2 receptors. Nature 2000;408(6809):199–203. DOI: 10.1038/35041572Lin S., Zhang A., Zhang X., Wu Z.B. Treatment of pituitary and other tumours with cabergoline: new mechanisms and potential broader applications. Neuroendocrinology 2020;110(6):477–88. DOI: 10.1159/000504000Lin S., Zhang A., Zhang X., Wu Z.B. Treatment of pituitary and other tumours with cabergoline: new mechanisms and potential broader applications. Neuroendocrinology 2020;110(6):477–88. DOI: 10.1159/000504000Spada A., Nicosia S., Cortelazzi L. et al. In vitro studies on prolactin release and adenylate cyclase activity in human prolactinsecreting pituitary adenomas. Different sensitivity of macro- and microadenomas to dopamine and vasoactive intestinal polypeptide. J Clin Endocrinol Metab 1983;56(1):1–10. DOI: 10.1210/jcem-56-1-1Spada A., Nicosia S., Cortelazzi L. et al. In vitro studies on prolactin release and adenylate cyclase activity in human prolactinsecreting pituitary adenomas. Different sensitivity of macro- and microadenomas to dopamine and vasoactive intestinal polypeptide. J Clin Endocrinol Metab 1983;56(1):1–10. DOI: 10.1210/jcem-56-1-1Lin S.J., Leng Z.G., Guo Y.H. et al. Suppression of mTOR pathway and induction of autophagy-dependent cell death by cabergoline. Oncotarget 2015;6(36):39329–41. DOI: 10.18632/oncotarget.5744Lin S.J., Leng Z.G., Guo Y.H. et al. Suppression of mTOR pathway and induction of autophagy-dependent cell death by cabergoline. Oncotarget 2015;6(36):39329–41. DOI: 10.18632/oncotarget.5744Leng Z.G., Lin S.J., Wu Z.R. et al. Activation of DRD5 (dopamine receptor D5) inhibits tumor growth by autophagic cell death. Auto phagy 2017;13(8):1404–19. DOI: 10.1080/15548627.2017.1328347Leng Z.G., Lin S.J., Wu Z.R. et al. Activation of DRD5 (dopamine receptor D5) inhibits tumor growth by autophagic cell death. Auto phagy 2017;13(8):1404–19. DOI: 10.1080/15548627.2017.1328347Yang Q., Li X. Molecular network basis of invasive pituitary adenoma: a review. Front Endocrinol (Lausanne) 2019;10:7. DOI: 10.3389/fendo.2019.00007Yang Q., Li X. Molecular network basis of invasive pituitary adenoma: a review. Front Endocrinol (Lausanne) 2019;10:7. DOI: 10.3389/fendo.2019.00007Wang J., Zhang Z., Li R. et al. ADAM12 induces EMT and promotes cell migration, invasion and proliferation in pituitary adenomas via EGFR/ERK signaling pathway. Biomed Pharmacother 2018;97:1066–77. DOI: 10.1016/j.biopha.2017.11.034Wang J., Zhang Z., Li R. et al. ADAM12 induces EMT and promotes cell migration, invasion and proliferation in pituitary adenomas via EGFR/ERK signaling pathway. Biomed Pharmacother 2018;97:1066–77. DOI: 10.1016/j.biopha.2017.11.034Soni A., De Silva S.R., Allen K. et al. A case of macroprolactinoma encasing an internal carotid artery aneurysm, presenting as pituitary apoplexy. Pituitary 2008;11(3):307–11. DOI: 10.1007/s11102-0070063-5Soni A., De Silva S.R., Allen K. et al. A case of macroprolactinoma encasing an internal carotid artery aneurysm, presenting as pituitary apoplexy. Pituitary 2008;11(3):307–11. DOI: 10.1007/s11102-0070063-5Chuang C.C., Chen Y.L., Pai P.C. A giant intracavernous carotid artery aneurysm embedded in pituitary macroadenoma presenting with pituitary apoplexy. Cerebrovasc Dis 2006;21(1-2):142–4. DOI: 10.1159/000090450Chuang C.C., Chen Y.L., Pai P.C. A giant intracavernous carotid artery aneurysm embedded in pituitary macroadenoma presenting with pituitary apoplexy. Cerebrovasc Dis 2006;21(1-2):142–4. DOI: 10.1159/000090450Peng Z., Tian D., Wang H. et al. Epistaxis and pituitary apoplexy due to ruptured internal carotid artery aneurysm embedded within pituitary adenoma. Int J Clin Exp Pathol 2015;8(11):14189–97. DOI: 26823732Peng Z., Tian D., Wang H. et al. Epistaxis and pituitary apoplexy due to ruptured internal carotid artery aneurysm embedded within pituitary adenoma. Int J Clin Exp Pathol 2015;8(11):14189–97. DOI: 26823732Sun Y., Wan B., Li Q. et al. Endovascular treatment for cavernous carotid aneurysms: a systematic review and meta-analysis. J Stroke Cerebrovasc Dis 2020;29(6):104808. DOI: 10.1016/j.jstrokecerebrovasdis.2020.104808Sun Y., Wan B., Li Q. et al. Endovascular treatment for cavernous carotid aneurysms: a systematic review and meta-analysis. J Stroke Cerebrovasc Dis 2020;29(6):104808. DOI: 10.1016/j.jstrokecerebrovasdis.2020.104808

The authors declare that there are no conflicts of interest present.